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Respiratory And Metabolic Acidosis And Alkalosis

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Metabolic Acidosis Or Respiratory Alkalosis? Evaluation Of A Low Plasmabicarbonate Using The Urine Anion Gap.

1. Am J Kidney Dis. 2017 Sep;70(3):440-444. doi: 10.1053/j.ajkd.2017.04.017. Epub2017 Jun 7. Metabolic Acidosis or Respiratory Alkalosis? Evaluation of a Low PlasmaBicarbonate Using the Urine Anion Gap. Batlle D(1), Chin-Theodorou J(2), Tucker BM(3). (1)Division of Nephrology & Hypertension, Department of Medicine, The Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address: [email protected] (2)Division of Nephrology & Hypertension, Department of Medicine, The Feinberg School of Medicine, Northwestern University, Chicago, IL. (3)Section of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, CT. Hypobicarbonatemia, or a reduced bicarbonate concentration in plasma, is afinding seen in 3 acid-base disorders: metabolic acidosis, chronic respiratoryalkalosis and mixed metabolic acidosis and chronic respiratory alkalosis.Hypobicarbonatemia due to chronic respiratory alkalosis is often misdiagnosed as a metabolic acidosis and mistreated with the administration of alkali therapy.Proper diagnosis of the cause of hypobicarbonatemia requires integration of thelaboratory values, arterial blood gas, and clinical history. Th Continue reading >>

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Popular Questions

  1. doesnotvalidate

    Let me start by saying that I’ve read the FAQ. Numerous times.
    I started Keto on August 12th, 2015 – I had previously been eating low carb for about a month, but hadn’t really been focused getting into full ketosis. I started off at around 215lbs.
    Initially I dropped down to around 205, with my lowest being 202. Since then I have jumped back up to 210 and can’t seem to shake it.
    My Keotstix are always Moderate or higher, I check myself a few times a day. It’s been almost a month in “ketosis” and I’m not dropping weight like I feel like should. I’m really frustrated. I don’t cheat, and I’ve been faithful to LCHF for going on a month now.
    On typical day here is what I eat:
    Breakfast:
    * A 20oz. heavy cream latte
    * A mozarella cheesestick or two
    Lunch:
    * Egg Scramble with just meat and cheese (bacon, chorizo, steak)
    Coffee Break:
    * A 20oz. heavy cream latte (sometimes)
    Dinner:
    * A Meat and fibrous green, the last 3 dinners I’ve had were:
    * Steak and Brussel Sprouts cooked in butter
    * Chicken Breast with Garlic Butter and Spinach cooked in butter
    * Steak with Broccoli cooked in butter
    Recently – I’ve not been super hungry, and have on occasion been skipping dinner altogether.
    My numbers look like this:
    * Net Carbs: < 20g / day
    * Fat: 70-150g / day
    * Protein: 60-11g / day
    On a typical day I’ll drink anywhere from 75-100oz of water to stay hydrated. I’m a programmer, so I spend most of my day at my desk, and I have a newborn, and unfortunately don’t have any time for exercise.
    I had been drinking Diet Coke for a while, and maybe a whiskey or three at night. I thought this might be the problem so for the last week I’ve cut out all alcohol and artificial sweeteners. It’s had no effect.
    I’m hoping some of you with more experience living with keto can give me some advice, I feel like I should at the very least losing some weight. It seems far too early for me to plateau. Do I just need to keep waiting? Everyone I know that’s done keto had almost instantaneous results?!? I’m just frustrated – I refuse to give up, but I don’t know what I’m doing wrong.
    Please help. Thank you in advance.
    Generated by Keto Calculator 9.0
    36/M/5'9" | CW 202 | 31% BF | Mostly sedentary
    1330 kcal Goal, a 34% deficit. (710 min, 2016 max)
    25g Carbohydrates
    85g Protein (84g min, 139g max)
    99g Fat (30g min, 175g max)

  2. anbeav

    20 oz heavy cream latte = 2 shots + cream = 18 oz cream = 1800 calories plus another on a coffee break, I might be grateful you're not gaining weight. Reign in the calories, cut the crram, get a food scale and follow your macros
    Weight loss is not instantaneous. You don't get to spend years gaining it and then lose it overnight, it's a marathon not a sprint and you need to maintain a calories deficit

  3. doesnotvalidate

    Thanks for the reply!
    I had started with the heavy cream because a normal latte has so many carbs, and I was told it was a great way to up my fat intake.
    What are a good alternative? Drip coffee + half & half?

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